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6704223018 (2006). Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial. (2000). Youth with complex trauma have often experienced relationships with caregivers characterized by inconsistency, neglect, and abuse. 2005;18:401412. The article(s) below that reports outcomes from an RCT showing a sustained effect of at least 1 year has an asterisk (*) at the beginning of its entry. The therapist explored the possibility of Kayla going to a group home which she was more comfortable with; during the next 2 months Kayla gradually transitioned to a nearby group home. Essential Components Gradual exposure is included in all components to help children gain mastery in how to use skills when trauma reminders or cues occur. Treating trauma and traumatic grief in children and adolescents. doi:10.1097/00004583-200404000-00005.
Child-specific sessions. Kayla's cognitions shifted over time from internalized responsibility for not being protected (“what was wrong with me?”), to holding her parents responsible. Children and mothers were randomly assigned to receive 8 sessions of TF-CBT or usual care (child-centered therapy). The therapist must carefully calibrate both the youth's and the caregiver's abilities to tolerate distress related to the relationship and decrease the intensity of the interaction when needed. ^ Cohen, Judith A.; Mannarino, Anthony P. P.; Perel, J. Child and Adolescent Mental Health. ^ COHEN, JUDITH A.; MANNARINO, ANTHONY P.; STARON, VIRGINIA R.